Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Spouse Name

First Name

Last Name

Spouse Date of Birth

MM

DD

YYYY

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Communication Preferred

Email

Postal Mail

Phone Call

Text Message

Social Media (Facebook Message, etc.)

Send me information on giving to Catholic Retrievers

Email

Postal Mail

Send me information about becoming a Class Agent

You will be a primary contact who can help coordinate communication with members of your class.

Email

Postal Mail

Phone Call

Send me information about becoming an alumni mentor

Be open to working with students as they transition from college to next steps in their life.

Email

Postal Mail

Phone Call

Send me information about alumni/student prayer partners

Commit to praying for a student who is currently an undergraduate and active in our ministry.

Email

Postal Mail

Phone Call